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1013283357
AMY RICEDORF
HATTIESBURG, MS
NPI
1013283357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MS 255326)
Enumeration Date
2012-03-30
Last Update Date
2012-03-30
Business Address
Ms. AMY RICEDORF NCC
4507 U S HIGHWAY 49
HATTIESBURG, MS 39401-9012
Phone number: 601-545-2925
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Mailing Address
Ms. AMY RICEDORF NCC
PO BOX 18679
HATTIESBURG, MS 39404-8679
Phone number: 601-705-1901
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